IndividualActive
Philip Lewis, MS, RD, CSSD, CSCS
NPI 1518543727 · Sports Dietetics Nutrition Registered Dietitian · Fort Bragg, NC
Provider details
- NPI number
- 1518543727
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CSSD, CSCS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 86045663 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Phone: (910) 907-8707
Approximate (ZIP-level) locationGet directions
Mailing address
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Registry dates
- Enumerated
- 2021-03-19
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.